A nurse witnesses a client begin to experience a tonic-clonic ...

[cnetterville]

A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of consciousness. Which action should the nurse take?
 
  a. Start fluids via a large-bore catheter.
  b. Turn the client's head to the side.
  c. Administer IV push diazepam.
  d. Prepare to intubate the client.

Question 2

After teaching a client who is diagnosed with new-onset status epilepticus and prescribed phenytoin (Dilantin), the nurse assesses the client's understanding. Which statement by the client indicates a correct understanding of the teaching?
 
  a. To prevent complications, I will drink at least 2 liters of water daily.
  b. This medication will stop me from getting an aura before a seizure.
  c. I will not drive a motor vehicle while taking this medication.
  d. Even when my seizures stop, I will continue to take this drug.

[fatboyy09]

Answer to Question 1

ANS: B
The nurse should turn the client's head to the side to prevent aspiration and allow drainage of secretions. Anticonvulsants are administered on a routine basis if a seizure is sustained. If the seizure is sustained (status epilepticus), the client must be intubated and should be administered oxygen, 0.9 sodium chloride, and IV push lorazepam or diazepam.

Answer to Question 2

ANS: D
Discontinuing antiepileptic drugs can lead to the recurrence of seizures or status epilepticus. The client does not need to drink more water and can drive while taking this medication. The medication will not stop an aura before a seizure.

[cnetterville]

Gracias!

[juliaf]

Excellent